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DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION

DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION. DR.HARIVANSH CHOPRA MD.,DCH PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE, MEERUT. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION. How many of you are involved in routine immunization?. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION.

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DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION

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  1. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION DR.HARIVANSH CHOPRA MD.,DCH PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE, MEERUT

  2. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION • How many of you are involved in routine immunization?

  3. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION • How many of you are trained in routine immunization?

  4. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION • How many of you have read some special manual on immunization?.

  5. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION • Is the problems faced by the multipurpose Workers and faced by you and me are Similar or different?

  6. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION DIFFERENT PROBLEMS IN DIFFERENT SETTINGS ETTINGS

  7. DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION • OPERATIONAL • SKILL BASED • KNOWLEDGE 4. AEFI

  8. OPERATIONAL PROBLEMS • CONVEYANCE • VACCINE AVAILABILITY • STORAGE • A/D SYRINGE

  9. OPERATIONAL PROBLEMS • CONVEYANCE • VACCINE AVAILABILITY • STORAGE • A/D SYRINGE

  10. OPERATIONAL PROBLEMS • INFRASTUCTURE • MANPOWER • GENERATOR • DISPOSAL

  11. SKILL BASED PROBLEMS • ADMINISTRATION OF VACCINE

  12. SKILL BASED PROBLEMS • ADMINISTRATION OF VACCINE

  13. SKILL BASED PROBLEMS • ADMINISTRATION OF VACCINE

  14. KNOWLEDGE BASED PROBLEMS • WRONG USE OF VACCINE CARRIER

  15. KNOWLEDGE BASED PROBLEMS • WRONG USE OF VACCINE CARRIER

  16. KNOWLEDGE BASED PROBLEMS • WRONG USE OF ICE PACK

  17. KNOWLEDGE BASED PROBLEMS • WRONG USE OF ICE PACK

  18. KNOWLEDGE BASED PROBLEMS • USE OF FROZEN VACCINE OF T SERIES

  19. KNOWLEDGE BASED PROBLEMS • NO CHECKING OF VVM

  20. KNOWLEDGE BASED PROBLEMS • USE OF EXPIRED VACCINE

  21. KNOWLEDGE BASED PROBLEMS • WRONG RECONSTITUTION OF VACCINE

  22. KNOWLEDGE BASED PROBLEMS • NOT WRITING THE TIME OF RECONSTITUTION

  23. KNOWLEDGE BASED PROBLEMS • WRONG VACCINE ADMINISTRATION • SIMILAR NAMES DIFFERENT AGES

  24. KNOWLEDGE BASED PROBLEMS • IMPROPER RECORD KEEPING

  25. AEFI

  26. AEFI • Emergency kit should provided to resuscitate the child in case of life threatening reactions. • Supervised training for skill development to prevent and to manage AEFI • Educate the mother about the possibilities and the precautions to take in case of AEFI • Both clinical and PR skills development

  27. SOLUTION ALL OF THE ABOVE MENTIONED PROBLEMS CAN BE SOLVED BY 1 PROPER LIASIONING WITH THE HEALTH SYSTEM.PUTTING MEDICAL COLLEGES IN THE DISTRICT ACTION PLAN UNDER NRHM. 2. TRAINING AND RETRAINING OF POST GRADUATES /FACULTY IN ROUTINE IMMUNIZATION.

  28. CONCLUSION ACTION WITOUT KNOWLEDGE IS USELESS AND KNOWLEDGE WITOUT ACTION IS FUTILE. SO LET US JOIN HANDS TO TAKE ACTION…….

  29. Conveyance problem

  30. IMMUNISATION STATUS OF CHILDREN IN COMMUNITY PARTIALLY IMMUNISED NOT IMMUNISED COMPLETELY IMMUNISED

  31. PLACE OF IMMUNISATION (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY)

  32. WHY AT UHC ? (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY) YES YES NO NO

  33. WHY AT UHC ? (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY) YES YES NO NO

  34. WHY AT UHC ? (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY) YES YES NO NO

  35. WHY AT UHC ? (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY) YES YES NO NO

  36. IMMUNISATION SESSIONS AT UHC IN LAST FIVE YEARS Timely and punctual immunisation sessions are carried out by post graduate students and interns every Wednesday under expert guidance of senior faculty. CARRIED OUT MISSED** ** All the 11% sessions missed were due to national/gazetted holidays.

  37. FACILITIES PROVIDED AT UHC • Community meetings of all pregnant females and mothers to educate them the importance of immunisation, family planning, proper infant care – in past three years more than 30 such meetings have been held. • Apart from these community meetings, the interns impart this knowledge house to house. • Provision of comprehensive child health care.

  38. FACILITIES PROVIDED AT UHC Growth monitoring of all children coming for immunisation, proper record maintenance, education of parents on growth pattern of children, and assistance in maintaining a healthy child.

  39. CONCLUSION Immunisation in community can be improved by combining the vaccination with comprehensive child health care which leads to development of faith in the health system.

  40. CONCLUSION The result of imparting knowledge to community helps in strengthening the faith in health system which in turn results in increased utilisation of health system.

  41. CONCLUSION • Punctuality, Regularity and Maintaining Adequate Safety Precautions results in the client satisfaction thereby increasing the utilisation of immunisation services.

  42. SUCCESS STORY OF IMMUNISATION IN AN URBAN AREA OF MEERUT H.CHOPRA, J.V.SINGH, M.BHATNAGAR, S.K.GARG, S.K.BAJPAI, ARVIND KR SINGH. LLRM MEDICAL COLLEGE, MEERUT

  43. AIMS AND OBJECTIVES * To find out the immunization status of children between 1 – 6 years of age. * To evaluate the services provided at UHC and to see its relation with utilisation of immunisation services.

  44. MATERIAL AND METHODS • The study was conducted in Urban Field Practice Area of LLRM Medical College, Meerut with a total population of 9816. • Minimum sample size (n) = Z2 (pq) = 384 d2 n – Sample Size Z – Confidence Interval = 95% p – Estimated Prevalence = 50% q – (100 – p) d – Relative precision = 10% • So for completing the sample size of 400(giving a margin of non coverage), mother of every 2nd child was selected by systematic random sampling method and was interviewed.

  45. MATERIAL AND METHODS • The study was conducted in Urban Field Practice Area of LLRM Medical College, Meerut with a total population of 9816. • Minimum sample size (n) = Z2 (pq) = 384 d2 n – Sample Size Z – Confidence Interval = 95% p – Estimated Prevalence = 50% q – (100 – p) d – Relative precision = 10% • So for completing the sample size of 400(giving a margin of non coverage), mother of every 2nd child was selected by systematic random sampling method and was interviewed.

  46. DEMOGRAPHY OF STUDIED POPULATION LOWER UPPER UPPER LOWER UPPER MIDDLE LOWER MIDDLE Modified classification of Kuppuswamy

  47. LITERACY RATE - FATHER

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